Since President Barack Obama signed the Affordable Care Act in 2010, Republicans have made repealing the law their mantra. They’ve fired up their base and put Democrats on the defensive by promising that once they had power, they would “repeal and replace.”
Republicans got their wish. In 2016, voters gave them control of the White House and both chambers of Congress. Yet their repeal attempts have failed, and the law has grown in popularity.
In response, Republicans are shying away from the law while Democrats are making it a core issue in their 2018 strategy.
Affordable Care Act supporters have spent $13,950,400 on pro-Obamacare ads this cycle (through June 30), just more than the $13,441,570 spent on anti-Obamacare ads.
It’s the first time total spending on pro-Obamacare ads has surpassed anti-Obamacare ads in an election cycle. The numbers were compiled by Kantar Media/CMAG for HuffPost.
Pro-Obamacare spending was significantly higher for the month of June, accounting for a major reason Democrats closed the gap: Last month, there were nearly $4 million in pro-Obamacare ads, compared with $1.1 million on the other side.
Before Obamacare passed, Democrats made health care their issue. For example, in the 2008 presidential election, the Obama campaign aired one specific ad on health care 24,000 times. But in 2012, when Obama was running for re-election, his campaign had just one health care ad.
Many of Democrats’ ads focus on going after GOP lawmakers for their plans to repeal the law.
Some Republicans in primaries who are trying to prove their conservative credentials have been hitting each other for not doing enough to repeal Obamacare. But beyond that, when Republicans do run ads on health care, they look more like what Gov. Scott Walker (R) is doing in Wisconsin, with a focus on the rising costs and how states can act.
Even though outright repeal appears to be off the table, there are still efforts to undermine the law. The big GOP tax bill eliminated the financial penalty for people who don’t get insurance. Without that penalty in place, healthy people are less likely to buy insurance, causing premiums for those who keep insurance to rise.
At the same time, Republicans at both the state and federal levels are doing what they can to change the rules on the types of insurance available. These efforts may result in cheap but less generous plans for people in good health ― and more expensive premiums for people who want or need more comprehensive coverage, including those with pre-existing conditions.
While Republicans may not want to talk about health care all that much this cycle, President Donald Trump’s administration recently handed Democrats a political gift and put the issue back in the forefront.
Last month, the Justice Department threw its support behind a lawsuit arguing that Obamacare’s protections for people with pre-existing conditions ― some of the most popular parts of the law ― are unconstitutional. Democrats immediately began using the lawsuit in campaign ads and fundraising emails, and they plan to press Trump’s Supreme Court pick on the matter as well.